Net Profit License Return Form - City Of Catlettsburg - Department Of Finance

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City of Catlettsburg
Department of Finance
Occupational License / Net Profit Division
P.O. Box 533
Catlettsburg, KY 41129
Phone: 606-739-4533
FAX: 606-739-5754
NET PROFIT LICENSE RETURN
For Year Ended
Business Name/Individual
Address
Due Date
City
State
Zip
Phone
15th day of the fourth month
Trade Name ,If Any
Nature of Business
following close of the year.
Account Number
1.
Net Profit/Income per attached Federal Return
2.
Type of Business
Add: Items Not Deductible (Line 4, Schedule A on Back)
Corporation
3.
Adjusted Net Profit (Line 1 plus Line 2)
4.
Catlettsburg Percentage (From Schedule B on Back)
Partnership
5.
Net Profit Subject to License Fee ( Line 3 multiplied by Line 4)
Proprietor
Sole
6.
License Fee Due (1.5% of Line 5)
Other______________
7.
Annual Business License Fee
8.
Enter the Larger of Line 6 or Line 7
Federal ID or Social Security No.
Total estimated Payments (including annual business license fee)
9.
and Prior Credits
ATTACH A COPY OF THE
10. Refund of Credit. If Line 9 is greater than Line 8, Enter the
COMPLETE FEDERAL
difference (Circle Refund or Credit)
RETURN OR SCHEDULE
FED. SCH. C OR E. (1040)
11. Balance Due. If Line 8 is greater than Line 9, Enter the difference.
Fed. 1041, 1065 PR
1120,1120S.
12. Penalty ( 5% per month if filed after due date—Minimum $25)
Please note: Federal return
s
should include Cost of Good
13. Interest (12% per annum until paid)
Approved by: ______________________________
Schedule and / or Other Schedules
14. Total Amount Due ( Add Lines 11, 12 and 13)
INCLUDE LIST OF ALL SUB-
CONTRACT PAYMENTS MADE
TO CORPORATIONS
I hereby certify that the statements made herein, and in any supporting documents are true, and complete to the best of my knowledge.
APPLICABLE TO
CATLETTSBURG, KY.
1099’s _____Yes ______No
Signature _________________________________
(Applicable To Catlettsburg, Ky.)
Title _____________________________________
Date _____________________________________
Reconciled By: _____________________________________
Date: ____________________________________________
Revised (March 2011)

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